Sumamos Excelencia Project: Implementation of Best Practices in Clinical Practice (Thrid Edition)
NCT ID: NCT06522529
Last Updated: 2024-07-26
Study Results
Results pending
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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Recruitment Status
RECRUITING
Clinical Phase
NA
Total Enrollment
400 participants
Study Classification
INTERVENTIONAL
Study Start Date
2024-09-01
Study Completion Date
2026-01-30
Brief Summary
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There is a gap between research and clinical practice, leading to variability in decision-making. Multifaceted implementation strategies are for improving implementation of best practices. Quasi-experimental, multicentre, before and after. Primary care, hospital units and nursing homes, and the patients attended at both. Implementation of evidence-based recommendations by application of a multifaceted implementation strategy (training, audit, context analysis, local strategies design, feedback, facilitation). Data will be collected at baseline and, during the first year of follow up, at months (4,8,12)
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Detailed Description
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Aim: To assess the effectiveness of implementing evidence-based recommendations using multifaceted implementation strategy on patient outcomes and healthcare quality. Design: Quasi-experimental, multicentre, before-and-after. Methods: NHS units and Nursing Homes, patients attended by them and professionals implementing the recommendations. Intervention: implementation of evidence-based recommendation with a multifaceted implementation strategy (training, audit, context analysis, local strategies design, feedback, facilitation). Variables: Process and outcome criteria with respect to assessment and management of pain, management of urinary incontinence, prevention of child obesity, promotion of breastfeeding, promotion of hand hygiene, smoking cessation intervention, pressure injury prevention, fall prevention, competencies in evidence-based practice, barriers to the implementation and strategies for overcoming them. Data will be collected at baseline and, during the first year of follow-up, at months 4, 8 and 12, with data on patients and indicators being drawn from clinical histories and records. Descriptive analysis and comparison of the effectiveness of the intervention by means of inferential analysis and analysis of trends across follow-up. 95% confidence level. This project is partially funded by The Spanish Centre for Evidence Based Nursing and Healthcare. Project duration 2024-2025.
This project is a third edition of The SUMAMOS EXCELENCIA Project: Assessment of Implementation of Best Practices in a National Health System (NCT05466656), with an improved design and new recommendation topics.
This project is a third edition of The SUMAMOS EXCELENCIA Project: Assessment of Implementation of Best Practices in a National Health System (NCT05466656), with an improved design and new recommendation topics.
Conditions
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Pain
Obesity, Childhood
Breast Feeding
Incontinence, Urinary
Smoking Cessation
Pressure Injury
Fall
Study Design
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Allocation Method
NA
Intervention Model
SINGLE_GROUP
Quasi-experimental, uncontrolled, before-and-after study
Primary Study Purpose
HEALTH_SERVICES_RESEARCH
Blinding Strategy
NONE
Study Groups
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Experimental: Quasi-experimental uncontrolled, before-and-after.
The intervention will consist of the use of a multifaceted implementation strategy based in the continuous quality improvement cycle model and in implementation science theories, model and frameworks to be developed in clinical practice according to the study unit in question and the scope of action.
Group Type
EXPERIMENTAL
Multifaceted implementation strategy
Intervention Type
OTHER
The multifaceted implementation strategy consist in a process of improvement by reference to a prior baseline clinical audit. It implies a local context analysis, identifying barriers to improvements in clinical practice, and developing and implementing a plan of action for improving adherence to pre-established criteria. The goal is to establish interprofessional processes within the teams, in order to: examine the barriers that hinder the use of evidence in fostering best practices; and contribute to the development of implementation programmes for overcoming such obstacles.
Interventions
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Multifaceted implementation strategy
The multifaceted implementation strategy consist in a process of improvement by reference to a prior baseline clinical audit. It implies a local context analysis, identifying barriers to improvements in clinical practice, and developing and implementing a plan of action for improving adherence to pre-established criteria. The goal is to establish interprofessional processes within the teams, in order to: examine the barriers that hinder the use of evidence in fostering best practices; and contribute to the development of implementation programmes for overcoming such obstacles.
Intervention Type
OTHER
Eligibility Criteria
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Inclusion Criteria
* NHS units and nursing homes which voluntary adhere to the project.
* NHS units and nursing homes providing direct patient care and commit to implement evidence-based recommendations on hand hygiene and one of the following topics: pain assessment and management, urinary incontinence management, obesity prevention and breastfeeding promotion, Smoking Cessation, falls prevention, pressure injuries prevention. For the purposes of this study, a "unit" is defined as any service, centre or institution that delivers health services to a homogeneous group of patients who share similar characteristics.
1. Pain:
* People susceptible to suffering some type of pain regardless of age.
* Patients treated in acute or chronic health institutions (Hospitals, Nursing Homes or Primary Care).
2. Urinary incontinence:
\- Patients 18 years or older.
\- Patients with uncomplicated stress, urge or mixed urinary incontinence
\- At least 7 days of admission or possibility of continuity of care preferably up to 6 weeks.
3. Obesity:
* Babies and preschool children up to 12 years old.
* For ages 2 to 12 years (inclusive), children must not be overweight or obese 1 year prior to baseline measurement (in February 2021 or at the closest review to February 2021 at which BMI is recorded).
* Good general health.
4. Breastfeeding:
* Lactating people.
* Healthy neonates of gestational age greater than 36 weeks, with birth weight greater than or equal to 2500 gr.
* Couples and relatives within the support network.
* Postpartum period and up to 6 months of life of the baby (183 days of life, included).
* In primary care, only non-urgent care will be included.
5. Smoking Cessation:
\- ≥ 18 years of age
* Smokers
6. Pressure injury prevention:
\- Adults population (≥ 18 years).
* Admitted to hospitals, nursing homes or included in home care programmes.
* Patients at risk of developing pressure injuries.
7. Falls prevention:
* Adults aged 65 years or older, and adults aged 18 years or older who may potentially present problems in walking as a result of neurological or traumatic diseases, medication, or who suffer from loss of strength or drowsiness.
8. Hand hygiene:
\- All health professionals who care for patients in the units participating in the study.
* NHS units and nursing homes providing direct patient care and commit to implement evidence-based recommendations on hand hygiene and one of the following topics: pain assessment and management, urinary incontinence management, obesity prevention and breastfeeding promotion, Smoking Cessation, falls prevention, pressure injuries prevention. For the purposes of this study, a "unit" is defined as any service, centre or institution that delivers health services to a homogeneous group of patients who share similar characteristics.
1. Pain:
* People susceptible to suffering some type of pain regardless of age.
* Patients treated in acute or chronic health institutions (Hospitals, Nursing Homes or Primary Care).
2. Urinary incontinence:
\- Patients 18 years or older.
\- Patients with uncomplicated stress, urge or mixed urinary incontinence
\- At least 7 days of admission or possibility of continuity of care preferably up to 6 weeks.
3. Obesity:
* Babies and preschool children up to 12 years old.
* For ages 2 to 12 years (inclusive), children must not be overweight or obese 1 year prior to baseline measurement (in February 2021 or at the closest review to February 2021 at which BMI is recorded).
* Good general health.
4. Breastfeeding:
* Lactating people.
* Healthy neonates of gestational age greater than 36 weeks, with birth weight greater than or equal to 2500 gr.
* Couples and relatives within the support network.
* Postpartum period and up to 6 months of life of the baby (183 days of life, included).
* In primary care, only non-urgent care will be included.
5. Smoking Cessation:
\- ≥ 18 years of age
* Smokers
6. Pressure injury prevention:
\- Adults population (≥ 18 years).
* Admitted to hospitals, nursing homes or included in home care programmes.
* Patients at risk of developing pressure injuries.
7. Falls prevention:
* Adults aged 65 years or older, and adults aged 18 years or older who may potentially present problems in walking as a result of neurological or traumatic diseases, medication, or who suffer from loss of strength or drowsiness.
8. Hand hygiene:
\- All health professionals who care for patients in the units participating in the study.
Exclusion Criteria
\-
Eligible Sex
ALL
Accepts Healthy Volunteers
Yes
Sponsors
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The Spanish Centre for Evidence Based Nursing and Healthcare
UNKNOWN
Sponsor Role
collaborator
Instituto de Salud Carlos III
OTHER_GOV
Sponsor Role
lead
Responsible Party
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Teresa Moreno Casbas
Doctor
Responsibility Role
PRINCIPAL_INVESTIGATOR
Principal Investigators
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María Teresa Moreno-Casbas, PhD
Role: STUDY_DIRECTOR
Instituto de Salud Carlos III
Esther González-María, PhD
Role: PRINCIPAL_INVESTIGATOR
Instituto de Salud Carlos III
Leticia Bernués-Caudillo, PhD Candidate
Role: STUDY_CHAIR
Instituto de Salud Carlos III
Laura Albornos-Muñoz, PhD
Role: STUDY_CHAIR
Instituto de Salud Carlos III
Alba Ayala, PhD
Role: STUDY_CHAIR
Instituto de Salud Carlos III
Locations
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Instituto de Salud Carlos III - Unidad de Investigación en Cuidados y Servicios de Salud
Madrid, , Spain
Site Status
RECRUITING
Countries
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Spain
Central Contacts
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Facility Contacts
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References
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Related Links
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Other Identifiers
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SE_CECBE_2024
Identifier Type: -
Identifier Source: org_study_id
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TERMINATED
NA
Study on Cardiovascular Health, Nutrition and Physical Functioning in Older Adults in Spain
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ENROLLING_BY_INVITATION
Advance Care Planning for Older Latinos With Chronic Illness
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COMPLETED
NA
Evaluation of an Implementation Strategy of mHealth Intervention to Promote Healthy Lifestyles (E-VIDAPP Pilot Study)
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COMPLETED
NA
Development, Implementation and Evaluation of the Impact of a Guideline in Clinical Practise for Cardiovascular Risk
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COMPLETED
NA
An Integrated Care Model for Chronic Patients
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UNKNOWN
NA
Evaluation of an mHealth Intervention to Promote Participation in Breast Cancer Screening in Argentina
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COMPLETED
NA
Chronic Care Management for Adults at FQHCs
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UNKNOWN
NA
Community Services Navigation to Advance Health Equity in Breast Cancer Screening
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RECRUITING
NA
COVID-19 Testing and Vaccine Literacy for Women With Criminal Legal System Involvement
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COMPLETED
NA
Community-based Personalized Care and QOL
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UNKNOWN
Communicating Multiple Disease Risks: A Translation of Risk Prediction Science
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COMPLETED
NA
Technologies for Participatory Medicine and Health Promotion in the Elderly Population
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COMPLETED
NA
eHealth Literacy Intervention for Spanish Speaking Older Adults in the US
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NOT_YET_RECRUITING
NA
Sustainable Household Energy Adoption in Rwanda (SHEAR)
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COMPLETED
NA
Professional and Personal Toxic Exposure in Systemic Sclerosis : Type, Intensity and Probability of Exposition
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COMPLETED
Compartiendo Salud: Community-Based Intervention for Loneliness
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RECRUITING
NA
Evaluation of COMmunity of Practice And Safety Support (COMPASS) for Home Care Workers
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COMPLETED
NA
Pain and Symptom Management in Rural Communities
NCT02070874
COMPLETED
NA
Effectiveness of an Intervention for Prevention and Treatment of Burnout in Primary Care
NCT01870154
COMPLETED
NA